Zbodula, Katherine Anne

Zbodula, Katherine Anne is an individual health care provider with primary practice located at 1712 Price Rd , Indian Trail NC 28079-7512. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Zbodula, Katherine Anne can be contacted via phone (704) 579-9299.

Contact Information

Primary practice address
1712 Price Rd Indian Trail NC 28079-7512
Phone: (704) 579-9299
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 5002822 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 301522 New York
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 0050-02822 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 301522 New York
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 5002822 North Carolina

Profile Details

NPI number 1891832853
LBN Legal business name Zbodula, Katherine Anne
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2007
Last updated Jun 15th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891832853 NPPES
North Carolina MEDICAID 7005424

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